Healthcare Provider Details

I. General information

NPI: 1336030253
Provider Name (Legal Business Name): SOLACE PATH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E SHORE DR
EAGLE ID
83616-6908
US

IV. Provider business mailing address

4622 W MARICOPA DR
EAGLE ID
83616-4480
US

V. Phone/Fax

Practice location:
  • Phone: 208-366-4740
  • Fax:
Mailing address:
  • Phone: 208-366-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HEIDI A HUFFMAN
Title or Position: OWNER/COUNSELOR
Credential: LPC
Phone: 208-366-4740